Background: Physician advocacy and knowledge of healthcare policy are vital elements of medical education and included within the ACGME Core Competency of Systems-Based Practice. The ability to advocate effectively has potential to impact healthcare regulations for both inpatient and outpatient practice. However, many GME programs do not incorporate these topics into their trainee education. To [...]

Background: Health care policy is currently under scrutiny due to health care reform, yet in our experience the majority of house staff have insufficient opportunity to learn about the environment they will soon be practicing medicine in. The ACGME attempts to address this through the Systems-based practice competency, but further guidance is lacking. Purpose: Our [...]

Background: Engaged healthcare team members are more likely to be satisfied with their job and remain in their organizations (1-3). However, little is known about the effects of burnout on work engagement in hospital nurses. Therefore, we examined the relationship between burnout, work engagement, and job satisfaction in nurses in a tertiary referral hospital. Methods: [...]

Background: As the volume of inpatient clinical support tasks (non-direct patient care tasks) has increased, there has been increasing frustration amongst the internal medicine residents at our institution with the efficiency and educational value of their inpatient internal medicine ward experience. This is consistent with similar frustrations amongst trainees and hospitalists across the country. “You [...]

Background: Data about seroprevalence of COVID-19 infections in US Health Care Workers (HCW) is limited. CDC reported that about 55% of SARS-CoV-2 PCR positive HCWs reported exposure at work, with most of them being minimally symptomatic or asymptomatic(1). This study characterizes the symptomatic/asymptomatic SARS-CoV-2 seropositive frontline HCW in our hospital and correlate clinical features with [...]

Background: Stress is prevalent in healthcare where a certain level of stress is constant. Healthcare workers face higher rates of burnout that could be characterized by emotional exhaustion, depersonalization and could make it difficult to connect with patients in meaningful ways. Yogic Lifestyle brings into account the different variations of a healthy lifestyle combined into [...]

Background:  The Affordable Care Act (ACA) has recently enabled millions of U.S. adults to acquire healthcare coverage.  The differential shift in payer mix in Medicaid-expansion versus non-expansion states after ACA implementation may be relevant to hospitals beyond reimbursement.  Medicaid has historically been associated with longer hospitalizations and higher mortality in diverse patient populations, more so [...]

Background: “Hospital at Home” (HaH) models of care have existed for over 20 years in the U.S. Recent demand for healthcare value, advances in relevant technologies, and the ongoing global pandemic have driven renewed attention to HaH models, including from the Center for Medicare and Medicaid Services (CMS), and have spawned several pilots within the [...]

Background: Prior studies have found Black and Hispanic patients are more likely to experience disparities in pain management. Fewer studies have evaluated pain control based on age, sex, body mass index (BMI), or presence of a substance use disorder (SUD). While factors influencing management of acute pain are complex, striving for adequate pain control remains [...]

Background: Every year, as many as 98,000 people die from medical errors within the hospital, making medical errors one of the top 10 leading causes of death in the United States(1). While the Accreditation Council for Graduate Medical Education (ACGME) has incorporated healthcare quality and patient safety into the Clinical Learning Environment Review (CLER) program [...]